During a group prenatal teaching session, the nurse teaches Kegel ...

[krzymel]

During a group prenatal teaching session, the nurse teaches Kegel exercises. Which statements would be appropriate for this teaching session? Select all that apply.
 
  a. Kegel exercises help keep your uterus strong during the pregnancy.
  b. Kegel exercises should be performed twice a day.
  c. Kegel exercises should be performed 50 to 100 times a day.
  d. To perform Kegel exercises, slowly squeeze to a peak at the count of eight, and then slowly release to a count of eight.
  e. To perform Kegel exercises, rapidly perform alternating squeeze-release exercises up to the count of eight.

Question 2

During a woman's 34th week of pregnancy, she is told that she has preeclampsia. The nurse knows which statement concerning preeclampsia is true?
 
  a. Preeclampsia has little effect on the fetus.
  b. Edema is one of the main indications of preeclampsia. c.
  Eclampsia only occurs before delivery of the baby.
  d. Untreated preeclampsia may contribute to restriction of fetal growth.

[bob]

Answer to Question 1

ANS: C, D
Kegel exercises can be performed to prepare for and to recover from birth. The nurse should direct the woman to squeeze slowly to a peak at the count of eight and then to release slowly to the count of eight. The nurse can prescribe this exercise to be performed 50 to 100 times a day.

Answer to Question 2

ANS: D
Untreated preeclampsia may progress to eclampsia, which is manifested by generalized tonic-clonic seizures. Eclampsia may develop as late as 10 days postpartum. Before the syndrome becomes clinically manifested, it is affecting the placenta through vasospasm and a series of small infarctions. The placenta's capacity to deliver oxygen and nutrients may be seriously diminished, and fetal growth may be restricted. Edema is common in pregnancy and is not an indicator of preeclampsia.